Review of Perinatal Deaths in a Tertiary Care Hospital of Nepal

Authors

  • Rajshree Singh Nepalese Army Institute of Health Sciences- College of Medicine, Kathmandu, Nepal
  • Rahul Kumar Thakur Nepalese Army Institute of Health Sciences- College of Medicine, Kathmandu, Nepal
  • Reeta Manandhar Department of Pediatrics, Nepalese Army Institute of Health Sciences- College of Medicine, Kathmandu, Nepal
  • Ratna Khatri Department of Pediatrics, Nepalese Army Institute of Health Sciences- College of Medicine, Kathmandu, Nepal
  • Moon Thapa
  • Bikash Shrestha

Abstract

Aims: Perinatal mortality is a public health problem especially in developing countries like Nepal. This study is an attempt to assert the perinatal mortality status for the year 2016/2017 A.D. of Shree Birendra Hospital, a tertiary hospital. This study becomes imperative to comprehend the various shortcomings in the maternal and child health care, so as to remedy them effectively.

Methods: This is a hospital record-based study conducted at Shree Birendra Hospital, Kathmandu, a tertiary care facility of the Nepal Army. The record of all perinatal death from 13th April 2016 to 12th April 2017 was reviewed.

Results: Out of 1051 total births, there were 12 perinatal deaths with perinatal mortality rate of 11.42 per thousand births. Perinatal death was more prevalent in the age group 20-25 (58.33%), multiparous female (60%), period of gestation between 35-40 weeks (58.34%), male gender of baby (66.67%) but equal number of deaths was seen in both vaginal delivery and emergency LSCS. According to the Wigglesworth pathophysiological classification to classify perinatal deaths, conditions specific to neonate (33.3%) constituted as a significant cause perinatal death followed by stillbirths or neonatal deaths with congenital anomalies (25%) and conditions associated with prematurity (25%).

Conclusions: Neonatal sepsis contributed to the major burden of perinatal mortality. Keeping detailed medical records, screening for Group B streptococcus in the third trimester, and using clinical autopsy can further strengthen obstetric and neonatal care.

Keywords: early neonatal mortality rate, perinatal mortality, stillbirth

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Published

2020-11-15

How to Cite

Singh, R., Thakur, R. K., Manandhar, R., Khatri, R., Thapa, M., & Shrestha, B. (2020). Review of Perinatal Deaths in a Tertiary Care Hospital of Nepal. Nepal Journal of Obstetrics and Gynaecology, 15(2). Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/32908

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Original Articles